| NPI | 1306387360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARHONDA S GOUGH Clinical Manager/CEO 240-432-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13108) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |